ADHERENCE AND ASSOCIATED FACTORS TO TYPE 1 DIABETES MELLITUS CARE AMONG ADOLESCENTS AT KISII COUNTY the recommendations management is associated with better clinical outcomes. In Kisii County, the adherence of adolescents living with T1DM to diabetic care is not well known. The study had the purpose to assess the adherence of children suffering from T1DM to Diabetic care and its associated factors. The quantitative cross-section study was conducted in Kisii County Diabetic Association Centre in Nyamache Sub- County, Kisii County among a convenient sample of 108. The study was conducted from February to April (precise date). A structured questionnaire was used to collect data. Ethical approval was sought and obtained from UR-CMHS-IRB (number of ethics). Participation was voluntary and other ethical principles were observed throughout the study. Descriptive data were entered into the Statistical Package of Social Sciences (SPSS) version 21, and then analyzed using Pearson Chi-square, to determine association between variables. The significance level was set at p-value of < 0.05 A total of 106 (98%) participants who consisted of 40.6% male and 59.4% female completed the survey. The majority of participants were aged between 15-19 (79.2%) years while 22(20.8%) were between 10-14 years old. 79.2% were adherent to diabetic care while 20.8% were not adherent. (72.6%) had schooling while (27.4%) did not attend school. The majority of the participants (79.2%) were in boarding school and (20.8%) were living out of school. Moreover (63.2%) children were living with both parents and (61.3%) of parents were married. There is no association between adherence and Age, gender , Child in boding school, Duration of medication, or if there are causes delayed respect of nurse‘ instructions but the others factors are associated with adherence: schooling child( p:0.001) , Relationship with guardian p:0.001) Parent status(p:<001) ,Guardian‘ occupation(p:<001), education level of guardian( p:0.017) (p:),Ubudehe category(p:<001), Health insurance(p:0.025) Complication (p:0.001) and Co-morbidities

Mainintaiance of instruments

The purpose is to provide trainees with knowledge, skills, and attitudes in health service management. The expected learning outcomes are for trainees to understand key concepts like management principles and functions, human resource management, health care delivery systems, and health policy and planning.

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Nutrition surveillance is the ongoing, systematic collection, analysis, and dissemination of data on nutritional conditions and related factors to inform public health decisions and interventions.

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Medical terminology refers to the study of words used to communicate facts and ideas particular to medicine concerning the origin,construction the past and present usage and the meaning of such word. It can further be defined as a specialized language and a means of communication between and amongst health professionals.

A classification of diseases can be defined as a system of categories to which morbid entities are assigned according to established criteria. Classification is the use of police procedure to categories fact which stored for accessible use.

Virology is a field within microbiology that encompasses the study of viruses. Medicalvirology deals with the study of medically important viruses and the diseases they cause ortheir effect on human beings. Viruses are particles consisting of protein and nucleic acid (anRNA or DNA genome). Lack both cellular structure and independent metabolic processes.They replicate solely by exploiting living cells based on the information in the viral genome.

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